Provider Demographics
NPI:1508355868
Name:KESSLER LIFE SYSTEMS, LLC
Entity Type:Organization
Organization Name:KESSLER LIFE SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-987-1748
Mailing Address - Street 1:199 E FLAGLER ST STE 339
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1103
Mailing Address - Country:US
Mailing Address - Phone:305-987-1748
Mailing Address - Fax:832-514-3640
Practice Address - Street 1:1444 BISCAYNE BLVD STE 208-31
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1430
Practice Address - Country:US
Practice Address - Phone:305-987-1748
Practice Address - Fax:832-514-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW58121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty